Infection

Question 1

Treatment for Gastroenteritis

Answer 1

Rehydration via: IV saline or Oral sugar/salt solution

Question 2

Treatment for Haemolytic-uraemic syndrome

Answer 2

Supportive

ANTIBIOTICS NOT INDICATED

Question 3

Treatment for C. diff

Answer 3

STOP PRECIPATING ANTIBIOTIC (if possible)
Oral Metronidazole (if no severity markers)
Oral Vancomycin (if 2 or more severity markers)
Fidaxomicin (new + expensive)
Stool transplant
Surgery

Question 4

Treatment for Giardia lamblia parisite

Answer 4

Metronidazle

Question 5

What is sepsis 6

Answer 5

-3 diagnostic + 3 therapeutic steps (all to be delivered within one hour of the initial diagnosis of sepsis)

1. Blood cultures
2. Blood lactate +FBC
3. Measure urine output
4. Titrate oxygen to a saturation of 94-98%%
5. IV fluid resuscitation.
6. IV antibiotics

Question 6

Treatment for HIV

Answer 6

Combinatim antiretroviral therapy (cART) [at least 3 drugs from at least 2 different groups]

Question 7

How would you treat a pregnant woman with HIV

Answer 7

Start treatment before 3rd trimester

Question 8

Types of Antiviral drugs

Answer 8

Nucleoside reverse transcriptase inhibitor

Non-nucleoside reverse transcriptase inhibitor

Protease inhibitor

Integrase inhibitors

Question 9

Side effects of; Nucleoside reverse transcriptase inhibitor
Non-nucleoside reverse transcriptase inhibitor
Protease inhibitor
Integrase inhibitors

Answer 9

-Nucleoside reverse transcriptase inhibitor
Marrow toxicity, neuropathy , LIPODYSTROPHY

-Non-nucleoside reverse transcriptase inhibitor
Skin rashes, hypersensitivity

-Protease inhibitor
Diarrhoea, LIPODYSTOPHY, hyperlipdaemia

-Integrase inhibitors
Rashes